We have known this for years. As long as the trillion dollar industry is allowed to buy Congress, nothing is going to happen.

They should have no say if it is approved by a doctor. I have seen to many rejections by ins co. They do not see the patient and what their needs might be. They just do not care.

That just shows how greedy corporate America is and most likely won't change any time soon.

It's Amurika.
Land of the Bottom line..I will however have to call out the doctors claim that Masshealth has Killed more patients
Show me the numbers behind That claim doctor.

This is nuts. I am sure the parents LOVE going to see him and his dad on a Saturday -- they are open, taking patients, and nobody has to take a day off work just to get a kid a flu shot/physical/followup/etc. Leave it to an insurance company busy body to try to shut that down because (gasp) they were having to pay claims for very-logical-lets-get-things-done-while-we-are-here appointments.

To bad you can’t easily sue the insurance company for malpractice. But they would simply pass the costs along. Perhaps if the penalties for the execs were criminal and personal rather than civil and corporate.

I don't even have to read that to agree with your statement

I was on the phone last week arguing for authorization for a very necessary medical procedure for a pt. The local hospital was not in network with this insurance company and we were trying to find a hospital where she could get the care she needed. They rattled off a list of in network hospitals, none of which even provided the necessary services. When I explained to them that it was not possible to provide this care at their chosen hospitals, they had no idea how restrictive their demands were. Often times in these situations we are forced to send a pt. through the ER because these claims get paid, so the burden doesn't fall on the pt, although completely inefficient and a huge waste of resources. People want to know why healthcare is so ridiculously expensive? It's because you're paying an RN to sit on the phone for hours arguing the need for extremely necessary services, and still end up often being forced to work around the insurance company by utilizing the ER for services that do not need ER resources. Nothing but corrupt, inefficient practices coming from insurance companies.

Ah the good old american health care system...

That's been going on for years. It's bullshit. My dr prescribed a b/p med and the insurance company refused to pay. It's became a common theme.